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To: trussell
File an appeal with your insurer on their decision. Get it documented your doctors against medical advice release. If your insurance is through the state {Medicaid} contact your state lawmakers as well. They can intercede as it is state funding and you may be able to file a complaint against the insurer. It's a little more difficult it you are dealing with a Hey Moe aka HMO. Thanks to Teddy The Swimmer they can face no liability for their negligence. What you really need is what is called a patient advocate. Unfortunately sometimes you have to really be persistant with insurers.

There are also laws on the books about what can be considered abuse of the disabled or elderly by knowingly placing them into an unsafe enviroment or where their care including basic needs can not be met.

You can have your doctor request a hospital bed, a Hoyer Lift to get you out of bed you son can operate it they're fairly simple, a shower chair with wheels to be rolled into the bathroom as they fit through most doors. If they want to play the home care game instead of rehab then they should make your home as accessible as possible.

The HMO and insurers count on persons not challanging them. In your situation you need adult care/assistance for a few weeks. If they could not have placed you on the hospital rehab floor then they should have placed you in a nursing home for that time frame where assistance for your human needs would be met. The therapy can be done there and many of them have their on therapist. Really though you belong in a spinal rehab unit.

174 posted on 09/20/2013 3:19:18 AM PDT by cva66snipe (Two Choices left for U.S. One Nation Under GOD or One Nation Under Judgment? Which one say ye?)
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To: cva66snipe

which lawmakers are the ones I should contact? I can find numbers if I know what ones I need to look for. So far, every home health provider that has come agree I should not be home. Even with the family that is here, I should not be here trying to care for myself.

At least today, I have a LARGE lidded cup that is filled with drink for me and my pain meds are next to me...I have a nurse, a PT and an OT coming. I told one of them on the phone yesterday that I had spent all day yesterday unable to get food. I didn’t get anything to eat until almost 7 pm. She said “Oh, we’re going to find a way to fix THAT”


175 posted on 09/20/2013 3:42:06 AM PDT by trussell (I carry because...When seconds count between life and death, the police are only minutes away)
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